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It’s become fashionable to describe the healthcare system as hopelessly broken, and to indirectly blame providers as a key reason for the situation. For instance, a new report from the National Academy of Sciences (NAS) sums up what it terms as a “fundamental paradox” in U.S. healthcare. It warns that American healthcare “is falling short on basic dimensions of quality, outcomes, costs and equity.” It compares the current delivery system to other industries, and concludes that the U.S. system falls significantly short.